1. Home
  2. Directory
  3. New York
  4. Elmira
  5. Counselor
  6. NPI Profile

TRACY MICKELSON CASAC
NPI 1639785033
Counselor - Addiction (Substance Use Disorder) in Elmira, NY

Active since September 21, 2020
1149 SULLIVAN ST STE B, ELMIRA, NY 14901(607) 733-7661(607) 733-7675 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracy Mickelson Casac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY MICKELSON CASAC (NPI 1639785033) is an individual addiction (substance use disorder) provider in Elmira, New York and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1639785033
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTRACY MICKELSONCredential: CASAC
Location Address1149 SULLIVAN ST STE BElmira, NY 14901-1670
Mailing Address1149 Sullivan St Ste BElmira, NY 14901-1670 · (607) 733-7661 · Fax (607) 733-7675
Phone(607) 733-7661
Fax(607) 733-7675
Sole ProprietorNo
Enumeration DateSeptember 21, 2020
NPPES CertifiedSeptember 21, 2020
✔ NPI 1639785033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1149 SULLIVAN ST STE B, Elmira, NY 14901
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKLYN EGAN
Peer Specialist
1149 SULLIVAN ST STE B
ELMIRA, NY 14901
Chemung County (607) 733-7661
MICHELLE WRIGHT
Counselor
1149 SULLIVAN ST STE B
ELMIRA, NY 14901
Chemung County (607) 733-7661
MICHAEL LEHMANN II
Counselor (Mental Health)
1149 SULLIVAN ST STE B
ELMIRA, NY 14901
Chemung County (607) 733-7661
MRS. HEATHER ANNE CRUZ
Rehabilitation Counselor
1149 SULLIVAN ST STE B
ELMIRA, NY 14901
Chemung County (607) 329-1036
MR. LARRY D. BARTLETT JR. PEER SPECALIST
Peer Specialist
1149 SULLIVAN ST STE B
ELMIRA, NY 14901
Chemung County (607) 733-7661
JEAN A ROBBINS
Registered Nurse
1149 SULLIVAN ST STE B
ELMIRA, NY 14901
Chemung County (607) 733-7661
MATTHEW ALEXANDER PITCHER MSW
Social Worker
1149 SULLIVAN ST STE B
ELMIRA, NY 14901
Chemung County (607) 733-7661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Mickelson's NPI number?

The NPI number for Tracy Mickelson is 1639785033. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Tracy Mickelson located?

Tracy Mickelson practices at 1149 Sullivan St Ste B, Elmira, NY 14901. The listed phone number is (607) 733-7661.

What is Tracy Mickelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tracy Mickelson was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.